Kelli Nicole King, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5006033 Issued in NC

Practice address

1221 Floral Pkwy
Unit 105
Wilmington, NC 28403-6238

Phone

(910) 799-6262

Fax

(910) 799-6261

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1235473232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 FLORAL PKWY",
            "address_2": "UNIT 105",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036238",
            "telephone_number": "910-799-6262",
            "fax_number": "910-799-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 FLORAL PKWY",
            "address_2": "UNIT 105",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036238",
            "telephone_number": "910-799-6262",
            "fax_number": "910-799-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KELLI",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006560",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Gordon King, LCSW
• Harold B. King III, RPH
• Heather King, PHARMD
• Jeremy Ashley King
• Jessica Hagler King, LCSW
• Kristin Anne King, PHD, CCC-SLP
• Lauren Elizabeth King, D.M.D.
• Lunsford Richardson King Jr., M.D.
• Mary Lynn King, DDS
• Michelle King, CRNA

• Family Nurse Practitioner in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.